[Serious acute hepatocellular insufficiency in children: EEG prognostic features].
Fulminant Hepatic Failure (FHF) in children leads to 60 to 90% of mortality without age influence, depending on the studies. Twenty-two children with this disease had daily EEG, 15 died, seven survived. The neurological electroclinical study evidenced a stereotyped evolution of the EEG anomalies which were not age-related, but correlated to clinical stages of coma and to severe coagulation disorders; 5/22 children with clinical and/or EEG convulsive disorders died. One child exhibited triphasic slow waves and died from paracetamol intoxication. A prospective study of a larger population could help to recognize factors of decision for hepatic transplantation.
Navelet
Y
Y
CHU de Bicêtre, Le Kremlin, France.
Girier
B
B
Clouzeau
J
J
Devictor
D
D
Wood
C
C
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography; D006501:Hepatic Encephalopathy / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D011379:Prognosis
Insuffisance hépato-cellulaire aiguë grave de l'enfant: aspects EEG pronostiques.